MEDICARE: LAURA CHANESKI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174N00000X	Lactation Consultant (Non-RN)

General Provider Information

NPI Number	:	1417890583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA CHANESKI

Provider Business Mailing Address
First Line	:	2128 PRIMROSE LN
Second Line	:
City	:	MARTINSVILLE
State	:	NJ
Zip	:	08836-2218
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2128 PRIMROSE LN
Second Line	:
City	:	MARTINSVILLE
State	:	NJ
Zip	:	08836-2218
Country	:	US
Telephone Number	:	732-754-7185
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “ LAURA CHANESKI ” Practice Location

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